Abstract

PURPOSE: High-fidelity patient simulation provides a unique opportunity to develop clinical skills through participation in controlled scenarios. At our institution, simulation plays an integral role in the education of senior medical students during a mandatory 4 week clerkship in critical care. As a part of the final examination, students are required to assess and manage patients with progressive circulatory shock and acute respiratory failure. Previous studies have demonstrated that evaluation of performance is aided by the use of a global score of performance and a checklist score of expected actions. The purpose of this study was to determine the correlation between a global score and a checklist score in this setting.

METHODS: One hundred consecutive senior medical students were tested on the final day of a critical care clerkship. Performance was assessed during a 15 minute patient simulation by use of a validated binary checklist of 25 expected actions including intubation, placement of a central venous catheter and use of vasoactive agents. In addition a validated global score on a scale of 1 to 10 was generated. This score was based on evaluator assessment of student confidence, ability to integrate data, and speed of decision making. A scatter plot was used to relate the two scores and a best-fit line was generated.

CONCLUSION: There is a moderate positive relationship between checklist scoring and global scoring of student performance during simulation of a critically ill patient after completion of a clerkship incorporating simulation-based activities. These scoring instruments are complimentary. Their combined use enhances overall assessment of student performance.

CLINICAL IMPLICATIONS: Both scoring instruments should be used in the comprehensive evaluation of student performance in this educational setting.

Return to: CORRELATION BETWEEN CHECKLIST SCORING AND GLOBAL SCORING OF STUDENT PERFORMANCE DURING SIMULATION OF A CRITICALLY ILL PATIENT

Copyright in the material you requested is held by the American College of Chest Physicians (unless otherwise noted).
This email ability is provided as a courtesy, and by using it you agree that that you are requesting the material
solely for personal, non-commercial use, and that it is subject to the American College of Chest Physicians’ Terms of Use.
The information provided in order to email this topic will not be used to send unsolicited email, nor will it be
furnished to third parties. Please refer to the American College of Chest Physicians’ Privacy Policy for further information.

Forgot your password?

Enter your username and email address. We'll send you a reminder to the email address on record.

Username
(required)

Email Address
(required)

Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.